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GYNAECOMASTIA – MALE BREAST REDUCTION SURGERY

PLASTIC SURGERY DUBAI | 27 May 2022

Although there is no definitive cause of gynaecomastia, the condition is thought to be the result of hormones circulating in specific cells in the breast area. As such, symptoms of the condition are generally apparent after puberty, although the condition may be visible at birth.

An imbalance of the ratio of male and female hormones in the body is also thought to contribute to the development of the condition. While in the majority of cases the cause of gynaecomastia is developmental, in some instances the condition is linked to the use of substances such as anabolic steroids or marijuana.

Often, the condition may be genetic or hereditary, or as a result of organ disease.

Some men find that one or both breasts may be abnormally large. Known as gynaecomastia, this condition can result from a hormone imbalance or from being very overweight, which can increase levels of oestrogen and cause breast tissue to grow. Breast reduction surgery is an option for men with this condition. It may also be used to tighten the breast area after dramatic weight loss that has caused the skin to sag. However, it is not suitable for men whose large breasts are simply excess fat from being overweight.

Some cases of gynaecomastia will get better without any form of treatment. If one of your medications is thought to be causing the gynaecomastia, it may improve with changing or stopping a particular tablet. Whilst gynaecomastia itself can be uncomfortable and unsightly, it is not dangerous and no harm will come from having it. When cancer has been ruled out, many men are happy to have no treatment. Another form of treatment is to have medication. These medications are often good at reducing discomfort and sensitivity but may not reduce the size of the breast. The third form of treatment involves surgery to your breast.

SURGICAL TREATMENT OF GYNAECOMASTIA

There are three main surgical procedures which can be undertaken:

Liposuction

Liposuction is used to remove the fatty tissue under a general anaesthetic. Small incisions (cuts) are made on the chest wall. A small metal tube (cannula) is used to suck out the fatty tissue. The incisions are then sutured to give a flatter, firmer and better-contoured chest. Any stitches will be of the dissolving type and so do not need to be removed.

Excision of gynaecomastia

In excisional surgery, I will make a cut around the nipple to remove the breast tissue. This may be combined with liposuction of the breast tissue at the same time.

Male breast reduction

If the breast is very large more tissue and skin may have to be removed. This will give more scars. The degree of scarring will depend on how much skin needs to be removed. I will advise you about this.

AFTER SURGERY

After surgery for gynaecomastia your breasts will look discoloured and feel firm and swollen. Bruises can occur. You may need to have a drain (a fine plastic tube) inserted into the breast during the operation. This will be removed by the breast care nurses seven days after your operation. You should be able to go home the same day. You may be advised to wear a corset for up to four weeks after the operation to help with the swelling. You will not be able to drive home after your operation and it may be two to three days before you can drive.

The dressings can be removed after 7-10 days and you should be able to return to work after one weeks. For the first three weeks after the operation, don’t lift anything heavy or do heavy manual work. Most men resume normal activities within two to three weeks. 

FOLLOW UP

You will be given an appointment to return to the clinic in 7-10 days where the dressings and drain(s) will be removed and the wounds inspected. You will also be reviewed after your surgery once the bruising and swelling has completely settled.

If liposuction is performed and only fat is removed, weight gain can make the gynaecomastia return. If the breast tissue itself is removed, as in the excision surgery or male breast reduction there is a chance the breast tissue can regrow. You will have medical photography before and after surgery of your chest. There will be nothing which will identify you to anyone else on these and they are used as a record of your treatment.

PLASTIC SURGERY DUBAI | 25 May 2022

Ever noticed that having a sharp, defined jawline is a sign of health, fitness and youth? At any age, a well-defined jaw helps show off a more youthful you.

If you’ve struggled to get the jawline of your dreams despite diet and exercise, have jowls and loose skin beginning to obscure your jawline or noticed that you may be prone or predisposed to never having a defined jawline despite excellent overall health and fitness, fear not! Thanks to modern plastic surgery, you have some nonsurgical and surgical options available.

NON-SURGICAL OPTIONS

Non-surgical options are best for patients who have mild to moderate fat obscuring the jawline, a fairly well-defined chin area and minimal to moderate loose skin around the jawline. Options include dermal fillers, neurotoxins, fat melting injectable agents and surgical threads.

Dermal fillers to the jawline

By injecting dermal fillers to directly to the jawline, the edge of your bony angle and mandible is enhanced. This works best in patients who are “almost there” but do not quite have a hard bony edge that you can see.

Typically you will need 1-4 syringes of dermal fillers, based on your anatomy and how defined you want your jawline. The results are immediate and should last about 12-18 months, depending on the dermal filler used.

Neurotoxin to the masseter muscles

Botulinum toxin (Botox, Dysport or Xeomin) can be placed directly in the masseter muscles of the face, which will slim your overall facial shape into a slightly more “V” like shape.

You can feel your masseter muscles by clenching your teeth and feeling a slight bulge at the end of your jaw. Thinning out the masseter muscle requires a fair amount of neurotoxin, usually about 30-60 units of Botox/Xeomin or 84-168 units of Dysport per side to achieve visible results. These results last about 3-4 months.

Kybella to the neck and chin fat

If you have some mild excess fat, you can melt this fat with a melting agent called Kybella (deoxycholic acid). The area in the double chin is considered on-label use, but getting to the very sides and back portion of your jawline may require injections that are off-label use. Depending on how much fat you have in the jaw area, you will need 1-6 vials of Kybella. The results are permanent, assuming you maintain your overall weight since the fat is physically melted.

SURGICAL OPTIONS

Surgical options are for patients who have a moderate to larger amount of fat and loose skin around the neck and jawline areas. The main treatments are liposuction or neck lift or both. Another new technology is radiofrequency energy.

Neck liposuction

If you have fat that is just under the skin and not underneath your neck muscles, liposuction of the neck and jawline area can be done to remove fat and give you a nicely defined jawline. Depending on the technology used, you will have mild to moderate skin tightening with liposuction as well. Results will last years or a lifetime since the fat is physically removed.

Neck lift

After making incisions near your ear and behind your ear, as well as an incision underneath your chin, your neck skin is lifted up, revealing access to your neck muscles, fat and supporting structures or your neck. A neck lift allows the most access and best long-term results, because all of the structures that can make your jawline more defined – skin, fat, muscle, SMAS, salivary glands – can be addressed in one procedure to give you maximal results that will last for years.

Radiofrequency energy

Radiofrequency energy can tighten loose skin and, in the neck area, can be used to tighten the skin after some type of procedure, usually neck liposuction. RF can be used with other procedures to tighten your neck skin and your redraped neck skin will be more smoothly and tightly placed over your jawline.

If your weak jawline is due to the skin being saggy around the area, causing it to lose definition, then Renuvion can help. It is a minor surgical procedure that uses radio-frequency to contract the subdermal collagen tissue and boost the production of collagen. Renuvion uses helium derived plasma energy as a way to deliver aesthetic results. Renuvion can not only deliver noticeable  results; it also helps to reduce risk and, in turn, minimise scarring and recovery time.

The jawline has a significant impact on your overall facial aesthetics, and it is one of the most defining parts of your appearance. One common complaint when it comes to facial appearance is a weak jawline. A weak jawline often involves having a receding chin which is set back from the face, or a jawline which is puffy and poorly defined.

Weak jawlines are often caused by genetics as some people are born with a round and narrow jaw or weak chin. Often jawlines don’t appear so pronounced because they are closer to the neck. Another common cause of a puffy or undefined jawline is excess fat and skin which can cover the area, ultimately making the jawline invisible.

Those suffering from a weak jawline might experience issues with self-confidence and self-esteem. The media portrays a defined and strong jawline as a physically appealing feature, which can leave those with a weak jawline looking for treatment.

WHAT ARE LIP FILLERS?

FILLERS IN DUBAI | 21 May 2022

Fillers are typically used to increase the volume and size of the lips. Collagen or hyaluronic acid-based filler are typical. Collagen works by plumping, while hyaluronic acid works by both plumping but also holding water within the lip for a more natural effect.

WHAT ARE LIP FILLERS?

Let’s start with what they’re not: they are not permanent. They last about three months to a year depending on how quickly your body breaks them down. The type I recommend are made of hyaluronic acid — a sugar, found naturally in the body, that adds temporary volume and definition when injected into lips.

CORRECTING BALANCE AND SHAPE

The lips can sometimes tend to be uneven with the top or bottom one thicker than they should be. To get a perfect pout the top lip should be one third and the bottom lip should be two thirds. Sometimes they are also larger on one side than the other and the lips are a little lopsided. Dermal filler can even this out

The objective in treating the upper lip is to artistically create a form that harmonizes with the patient’s unique facial features and takes into account the age and ethnic background of the patient. The goal in treating the lower lip is to create bulk and greater prominence and artistic projection of the vermilion. The physician must establish appropriate guidelines and patient expectations for augmentation relative to normal lip proportions in order to avoid a cartoon-like appearance.

It’s important to see your box of injectables opened in front of you and to be sure only your dermatologist or plastic surgeon is doing the injections. Avoid blood thinners, like aspirin and fish oil, for at least a day beforehand, which can increase bruising. If you opt for numbing cream, expect it to be placed on the lips for approximately 10 minutes. The lips absorb quickly and do not require lengthy topical anaesthesia. Then, the skin surface should be cleansed properly and then injections are performed. Your doctor should go very slowly, often pausing to show you the progress that he or she is making. There is a real balance and art to it, I find that you really need to go little by little, so you normally inject the top lip first, balance it out on the other side, then inject the bottom lip. It takes about 15 to 20 minutes. What you see is what you get, you’re not waiting for it to work, like Botox.

Some doctors will gently mould the filler with their fingers after it is injected by squeezing and patting it into place, while others aim to inject it exactly where they want it and avoid moulding, since it can increase bruising and swelling. Based on my extensive experience, there is no single stance on moulding – it’s a technique that some like, while others do it sparingly.

FILLER SUITABILITY

When selecting a suitable filler for the lips, the following factors are taken into consideration:

Longevity: it is important to advise the patient how long a product is expected to last for, and explain that this is not guaranteed in order to successfully manage their expectations

Crosslinking technology: relates to longevity and propensity to swell

Cost: patient needs to be aware of financial commitment

Company support: specific product knowledge and training/marketing is essential

Reversibility: ensures a safety net incase of vascular accident or other filler-associated complications; you should have an emergency kit including hyaluronidase on site

Strong clinical study evidence: ensures a safe, evidence-based choice

Previous patient experience of product: if a patient has had good clinical results with a certain product and is happy with it, do not use something else as they may be unhappy with the new product

LIP AUGMENTATION TECHNIQUES

There is no single technique that fits every lip, and each practitioner will have his or her own approach to treatment. Below are the factors of which typically followed when it comes to lip augmentation:

Visually assess the lip in 3D: i.e. the lateral and frontal view. This will give an idea of projection required. For an attractive lip, the upper lip should project around 2mm further than the lower lip.

Assess the smile: if the patient has a ‘gummy’ smile and the lip disappears upon smiling then consider botulinum toxin injections to soften the action of the lip elevators. I have found that for best results, it should be a deep injection, 1cm lateral to the lateral alar of the nose. If the patient has an active depressor angulioris, contributing to a downturned mouth, also consider treating this muscle with botulinum toxin to prevent a downward pull of muscle on the corners of the mouth.

Determine the amount of filler: I always agree with the patient the amount of filler that will be used. It is important to not over or underfill the lip (amount is case dependent). For example, overfilling the upper lip can create a ‘duck lip’ appearance, which is usually not regarded as aesthetically appealing. I do not use more than 1ml per visit to prevent overcorrection and reduce the risk of vascular compression.

Enhancement or restoration: I always ask if the patient is seeking enhancement or restoration – this usually depends on the patient’s age – to ensure that you understand their expectations of treatment.

Age appropriateness: ensure that the lips are ‘age appropriate’. I advise not to try to create the lips of a 25 year old on a 60-year-old patient.

In patients showing signs of ageing: treat the perioral complex and not just the lip. To do this, use filler to turn up the corners of the mouth at the oral commissure, to treat oral rhytids and to restore volume in the cutaneous lip and chin area. Botulinum toxin in the mentalis and depressor angular oris can be used to reduce hyperkinetic activity of mouth depressors.

Consider the vermillion border: consider using low viscosity filler when treating the vermillion border. This can create a very sharp and well-defined demarcation by creating maximum light reflection without distorting the delicate lip architecture.

POST-INJECTION CARE

Cool compresses and ice packs can be used to minimize swelling and bruising. Patients should be advised to avoid ASA, NSAIDs, and other medications associated with an increased risk of bleeding. If anti-HSV I medication was prescribed, it should be continued according to physician recommendation. Because HAs are hydrophilic, they attract water from the surrounding tissues and further augment the soft tissue volume beyond that expected from mere implantation. The significant swelling of the vermilion in the immediate post-operative period may be camouflaged by applying flesh-toned foundation or concealer to the entire vermilion. Lipstick can then be applied to a smaller portion of the vermilion than usual so as to not exaggerate the swelling that may be present.

 

SELECTING THE RIGHT FILLER

There are a lot of difficult decisions you have to make when it comes to getting lip injections, but fortunately, picking the right filler isn’t one of them. Hyaluronic acid, in a few different forms, is both the industry standard for temporary lip injections and the only temporary lip filler approved by the FDA. 

They’re marketed under different brand names – Restylane Silk, Belotero, Juvederm – but they’re all made from the same molecule, which is hyaluronic acid, as you may already know, naturally occurs in skin and is a top ingredient in hydrating skin-care products, since it plumps skin by capturing and holding onto water. Picking which of the formulas is best for you is really up to your doctor. Hyaluronic acid is not only the best option, but the only option for those new to the world of injections, since it will dissolve on its own and is well-tolerated, since it’s already in your body. There are irreversible fillers and implants, but those are not for beginners. 

PAIN MANAGEMENT

Lips are one of the more uncomfortable places to inject filler. We have a lot of nerves in our lips, so I can do a combination of topical numbing cream and, sometimes, injectable numbing medications, so patients are comfortable. However, many of the H.A. injectables come with lidocaine (a numbing pain reliever) built right in, so some doctors opt out of additional measures. One, or a combination of the above pain-reducing options, will normally temper the pain of the actual procedure, but you’re likely to experience pain later, since the skin is being stretched. The pain as mild to moderate and notes that it can last for a few days.

SIDE EFFECTS

Any time there is a needle crossing the skin, there is a risk. Bruising, swelling, and pain – all of which can last up to days and in rare cases, even weeks – may occur. There is also the risk of infection. Naturally, this makes it very important to check in with your doctor post-treatment, especially if you’re feeling nervous about side effects.

While hyaluronic acid is a naturally occurring substance in your body, you can still have an allergic reaction to H.A. injectables, since there are often inactive ingredients (like carrying agents) and pain-reducing ingredients (like lidocaine) in the formula. Those prone to allergies or are just plain nervous can do a patch test on their forearm a few days before the procedure to be sure they won’t have an adverse reaction.

Injecting the lips can prompt cold sores for those who are prone to them, so he normally pretreats those patients with a round of anti-viral medication, like Valtrex.

There are also less common side effects that are important to consider. More rare side effects include nodules or palpable material within the lips – basically bumps of H.A. that don’t settle or feel natural. Extremely rarely, lip filler can be introduced into a blood vessel in the lip, which can have more significant consequences if not dealt with immediately and appropriately.

WHAT TO EXPECT

One of the great things about lip injections is that the results are instantaneous, so you’ll leave the office with fairly accurate (albeit swollen) results. For the first 24 to 48 hours, the filler is malleable and your skin is prone to swelling, which means be gentle! This is noted as the time that your injections need to “settle.” No facials, yoga, or exercise is recommended, which can alter the placement of the filler and increase swelling and bruising.

Lips often swell for one to three days after treatment, but this is highly variable and some patients will experience no swelling and some will have more dramatic swelling that will take longer to subside. Bruising can last approximately one week, but can be covered with makeup or lipstick, as needed. Some doctors will offer to treat more significant bruising with a laser treatment if necessary.

While the average length of time H.A. fillers will last is about six months, it varies for everyone, from around three months to a year.  H.A. lasts different lengths, depending on where you put it and how active that body part is. I find that if the labelling says six to 12 months, [patients] normally come back every three to six months.

UNWANTED FATTY DEPOSITS ARE FOUND IN AREAS THAT ARE RESISTANT TO DIET AND EXERCISE

PLASTIC SURGERY DUBAI | 18 May 2022

Liposuction is a popular cosmetic procedure that can give you more uniform body shape and help to get rid of stubborn fat cells. People often get liposuction on their abdomen, buttocks, thighs, chin, neck, upper arms, calves, back, and on the back of the arms for a tight and toned look.

Unwanted fatty deposits are found in areas that are resistant to diet and exercise, such as the face, neck, breast, abdomen, upper arm, hips, thighs, knees, and ankles. Liposuction-liposculpture can be performed on multiple areas at one time – your surgeon will follow accepted guidelines regarding safe volumes which may be removed in one session. While goals include size improvement, this procedure is not for weight loss. Final results may not be evident for 6 months following your procedure. 

Liposuction is usually carried out under general anaesthetic, although an epidural anaesthetic may be used for liposuction on lower parts of the body. The surgeon would mark on your body the area where fat is to be removed. They would then: 

inject this area with a solution containing anaesthetic and medicine, to 

  reduce blood loss, bruising and swelling

break up the fat cells using high-frequency vibrations, a weak laser 

  pulse or a high-pressure water jet

make a small incision (cut) and insert a suction tube attached to a 

  vacuum machine (several cuts may need to be made if the area is large)

move the suction tube back and forth to loosen the fat and suck it out

  drain any excess fluid and blood

stitch up and bandage the treated area

LIPOSUCTION BENEFITS

Liposuction has many benefits associated with having the procedure done. While most of the benefits are cosmetic in nature, there are a few medical benefits that could lead someone to have liposuction.

Lipodystrophy Syndrome: People who have this syndrome have fat that deposits in one area of their body and leaves another. Liposuction can give them an even fat distribution back.

Lipomas: A lipoma is a fatty tumor that is benign. They can develop all over a person’s body, but they routinely appear under the arms, neck, shoulders, and on your trunk. Liposuction can break up these fatty tumors.

Lymphedema: Lymphedema is a chronic condition that affects people on a long-term basis. Lymph fluid collects and pools under the skin causing swelling in the person’s legs and arms. Liposuction can take out this pooled fluid, reduce the swelling, and reduce any discomfort.

Weight Loss: People who have lost an extreme amount of weight may benefit from liposuction. It can break down any remaining stubborn fat deposits to give the person an even appearance.

Tightening and Toning: Liposuction can get rid of and reduce the appearance of uneven fat deposits. As a result, you’ll get a tighter and more toned physique.

POSSIBLE SIDE EFFECTS

Liposuction is considered to be a relatively safe procedure, but it does have a few side effects you want to watch out for. If you’re concerned, it’s always a good idea to contact your physician.

Bruising that can last for weeks

Inflammation that can last up to six months

Contour irregularities

Numbness

Infection

Friction burns

HOW LIPOSUCTION WORKS

Small incisions are made in hair bearing areas or natural skin folds. A special tumescent solution is next placed within the fatty areas to be removed. This solution provides anesthesia to the areas, while limiting the usual blood loss. Fat is then carefully removed from the areas of concern to the patient using a surgical instrument called a cannula, which is attached with tubing to a suction machine. The time for completion of the procedure depends upon the total amount of fatty tissue removed. At the end of the procedure, the skin openings may be sutured or left open to heal, depending on the size of the openings. The patient may be placed in a compression garment that is worn for certain amount of time afterwards.

While recovery is easy, you should expect some initial drainage along with swelling, bruising and discomfort. Your compression garment will minimize the swelling, bruising, discomfort and assist in the retraction of any loose skin. While some results are noted immediately, your final shape and form will continue to improve as your swelling subsides. You will be encouraged to be up and about the night of your surgery and progressively increase your activities. Usually light work duties may be resumed within three to five days and vigorous exercise within two to four weeks.

The fat stores that have just been removed from your body are purified and readied for injection into your buttocks. Your surgeon finishes by injecting the processed fat into specific areas of the buttocks to create a more rounded, full look. They make three to five incisions around the buttocks for fat transfers. Both liposuction and fat transfer incisions are closed up with stitches. Your surgeon then applies a compression garment against the affected areas of skin to minimize your risk of bleeding.

For patients thinking about liposuction, it is important to remember that this treatment is not a cure, but can help to correct and improve bodily contours in areas that are resistant to weight loss.  As a surgical technique, liposuction works by removing pockets of fat in areas that are beyond the reach of diet and exercise. It is most effective for people who are near normal weight and have firm, elastic skin. It should not be thought of as a substitute for losing weight. 

The areas that are most commonly treated by liposuction are the tummy, hips, buttocks, thighs, knees, neck, upper arms and male breasts. There are various liposuction techniques available, but no single technique works for all patients. Each liposuction procedure will be tailored to a patient’s needs and physical condition. At the end of the operation, tight bandages or elasticated clothing will be applied to the area to minimise swelling and help the body conform to its new shape. With the exception of showering, this garment should be worn both day and night for at least two weeks and thereafter for another four to six weeks.

Complications are infrequent, although there can be considerable pain following this procedure, particularly if a large amount of fat has been removed. The following are commonly experienced by patients:

Stiffness and pain; swelling, bruising; numbness; unusual sensations; fine thread veins; lumpy appearance as remaining fat settles

If a small amount of fat is removed during an operation, patients should be able to return to work within a day or two. However, you may need extra time off if the liposuction was more extensive. Patients can usually return to their usual routines within three to four weeks. 

The effects of the operation should be long-lasting, so long as a patient’s weight remains stable.

COMPRESSION GARMENTS 

You will be fitted with compression bandages or elasticated supports for the appropriate areas after your surgery. You will also have dressings to cover the entry points and wounds from surgery.

Compression bandages and compression garments will help to get rid of swelling and bruising. The length of time that you wear these for is dependent on the nature of your procedure; it can be several weeks or months.

You are likely to be given specific garments to wear, so that they target the precise area that they have treated. It is important to wear these and follow instructions from your surgeon, so that the affected areas are properly supported during your recovery.

You can remove these garments and bandages when you shower, but check what guidance your surgeon can offer regarding how soon you should wait before submerging the wound in water. Typically, you should avoid showering or bathing for the first week after your procedure.

LIPOSUCTION RECOVERY

It is normal to feel a certain level of pain and tenderness immediately after liposuction. You are likely to have swelling and bruising for up to six months after the procedure. The level of pain to expect from liposuction will depend on how extensive the surgery was, what body part it focussed on, the size of the area and your own unique circumstances.

Bruising, lumpiness, numbness and discolouration of the skin are all common side effects that can last up to six months after liposuction. If you experience bleeding or signs of infection – such as pus, a temperature, redness, or excessive pain or swelling – contact a medical professional immediately. To minimise risks and aid recovery, it is important to get your body moving gently soon after surgery. Your surgeon is likely to encourage you to walk about as soon as possible, to aid blood flow and minimise the risk of clots.  

UNDER-EYE FILLER TREATMENT

FILLERS IN DUBAI | 14 May 2022

Tear trough filler treatment, also referred to as under-eye filler or dermal filler, is a popular cosmetic solution for tackling tired looking eyes. It is a non-surgical procedure that involves carefully injecting a gel-like substance into specific areas around the eyes, which works to replace the lost volume brought about through the ageing process. The outcome is smoother, younger-looking, more radiant skin, and a reduction in deep wrinkles and lines.

The treatment can also be used to add volume to other areas of the face, like the lips, brows, cheeks, marionette lines and nasolabial folds, creating a more youthful appearance. Filler can also be placed throughout the face with strategic injections to create a liquid facelift or liquid eye lift, which can be highly effective in selective patients.

Why undergo tear trough treatment?

Fillers are an effective option for patients with tear trough hollows and under-eye bags. As we start to age, the area underneath the eyes, known as the tear trough area, becomes more prominent. The change in appearance often presents with dark circles and under-eye hollow, leaving one to look tired and exhausted. In addition, hollowing under the eyes can expose bags, which make the appearance worse. Dermal filler injections help to normalise facial contouring around the lid-cheek junction and avoids the need for surgery. If your under-eye bags are severe, a blepharoplasty procedure may be more beneficial.

At what age should you get under-eye fillers?

Tear trough fillers are an increasingly popular non-surgical aesthetic treatment amongst younger people. However, individuals of any age can undergo the procedure if they seek a fresher, more rejuvenated look, and a break from tired looking eyes by restoring volume loss

What is the tear trough area and how does it change as we age?

The interface between our lower eyelids and upper cheek is referred to as the tear trough area. Tear trough hollowing is one of the earliest ageing changes and often is a constitutional feature present from adolescence. As we get older, this area alters in appearance, by becoming hollower, darker, deeper, and less revitalised. These depressions can make the eyes look somewhat sunken and create unattractive dark shadows, giving the appearance of tiredness, exhaustion, and old age.

How do I prepare for tear trough treatment?

During initial consultation Dr. Matteo Vigo will go through your medical history and provide a detailed examination of the eyes and face. There will be a discussion of what you wish to achieve from the treatment and the risks and benefits to allow you to reach an informed decision. If it is determined that tear trough filler is the right treatment is right for you, the filler injection will be applied. You should avoid drinking alcohol for 24 hours before the treatment, whilst aspirin should not be taken for 7 days and Ibuprofen for two days / 48 hours. Again, this will be discussed with you prior to the treatment.

How is tear trough treatment carried out?

Tear trough fillers are a non-surgical, minimally invasive treatment. It involves numbing the tear trough area with a topical anaesthetic and then injecting the area with hyaluronic acid gel, which works to boost collagen production and replace the lost volume brought about through the ageing process. It also hydrates, softens, and rejuvenates the skin, creating a more youthful appearance. The treatment only takes around 30 minutes, though many patients also opt to undergo other procedures with their fillers, such as midface lift or brow lift. You may also wish to have additional treatments such as a liquid eye lift, or a liquid facelift. Dr. Matteo Vigo will discuss with you the best treatment plan during your consultation.

When will results be visible?

Dermal fillers produce natural-looking, instant results. While the effect is noticeable immediately, the final result will usually be visible at around two weeks. This is because the skin needs time to relax, smooth and allow the dermal fillers to integrate properly with the surrounding tissue, achieving optimum hydration balance.

Do results look natural?

Yes, the tear trough filler treatment produces natural-looking results. Patients will not look dramatically different following the procedure. As a highly skilled practitioner, Dr. Matteo Vigo understands facial anatomy and how to achieve subtle yet noticeable results. During the initial consultation, a lot of time will be spent discussing the patient’s expectations, ensuring there is no shock results or surprise after the procedure is carried out.

Are tear trough fillers painful?

Tear trough fillers may be a little uncomfortable, but they are not painful. As this is a minimally invasive procedure, most patients find that it is a lot less daunting than they first anticipated. A topical anaesthetic numbing cream will often be applied to the area before injecting the skin with hyaluronic acid gel, thereby reducing the discomfort.

What happens during the under-eye filler recovery period?

Recovery is usually rapid and treatment results are normally visible right away. As there is no downtime, regular activities can resume immediately, with many patients going back to work on the same day. However, there may be a slight risk of bruising or swelling for the first couple of days.

To reduce swelling, patients can gently apply a cold compress to the area every few hours so that heat and steam hits the face. An Arnica cream can also be generally applied to the tear trough area before bed, helping to reduce bruising overnight.

Patients should resist touching the area for at least six hours following the filler treatment. After this time, they can gently wash the area with water and soap, dabbing rather than rubbing the area. Patients should avoid using make-up or other skincare products for at least the first four hours following the treatment.

Patients should also avoid exercise and alcohol for two days and are advised to stay out of extreme heat (e.g. saunas, sun beds, tanning) or coldness for two weeks.

How long do under eye-fillers last?

While results are typically long-lasting, the treatment is not a permanent solution since the filler will gradually break down over time. Patients are advised to come back to the clinic for repeat fillers to retain their youthful, fresh appearance. Normally this will be about every 1-2 years, depending on the individual, although some patients can retain fillers for many years. You are advised to come back to the clinic for a check-up and to review your progress.

There are several different factors which can contribute to the quicker break down of the filler results, including poor diet, smoking and lack of exercise, so for optimum results, it is best to follow a healthy lifestyle.

Can fillers be used in the upper eyelid?

Yes, hollowing in the upper lids (upper eyelid sulcus) can either occur due to natural ageing, giving a hollowed-out appearance, or as a result of surgery. Applying fillers to this area is highly specialised but can often give excellent results.

Are tear trough fillers safe?

Yes, tear trough fillers are very safe. All patients are given in-depth consultations beforehand, outlining any possible risks. 

Treatments must be carried out by a highly skilled practitioner, the tear trough area, where the tissues are much thinner than in any other areas of the face and are much less forgiving. In addition, the proximity to the eye means that you are advised to use a skilled surgeon, like Dr. Matteo Vigo, for these treatments.

FILLER TO RESHAPE, DEFINE, HIDE BUMPS & STRAIGHTEN THE NOSE

FILLERS IN DUBAI | 9 May 2022

Dermal filler is a gel which when injected into the nose can be used to reshape, define, hide bumps, and straighten the nose.

Dermal filler nose is an advanced dermal filler treatment and is considered a higher risk area than dermal filler elsewhere on the face, Dr. Matteo Vigo is highly experienced in performing this treatment.

He most commonly performs this treatment on patients who:

– Want a subtle correction to the nose

– Do not want to undergo surgery

– Prefer instant results with little downtime

– Have a flat nose bridge that requires building up 

– Have a ‘hooked’ nose

– Have a small bump they would like to correct

– Have a small nose requires building up

– Want a more defined nose with a raised nasal tip

The non-surgical nose job became a popular treatment for different age groups because it is an excellent choice for those who don’t want to have surgery. Major advantages of Nose Reshaping Fillers are that you can return to work the next day and resume your daily routine. No more hospital stay, leave of absence or long recovery period.

Let Dr. Matteo Vigo help you to be happy with what you see in the mirror by having a super effective, walk-in walk-out procedure, with no complications and scalpels.

The non-surgical rhinoplasty or non-surgical nose job is a highly advanced procedure. I will use premium hyaluronic acid nose fillers to shape your nose and balance your profile. As such this treatment is completely tailored to your individual face shape and aesthetic goals.

NON SURGICAL RHINOPLASTY WITH NOSE FILLERS

The non-surgical rhinoplasty is an advanced corrective procedure. Using hyaluronic acid dermal fillers, the nose can be reshaped with just a small number of injections in a short period of time with little to no downtime involved. As such, the non-surgical rhinoplasty has become extremely popular with both men and women alike. This treatment is performed using premium hyaluronic acid to reshape the nose and provide harmony to the face. 

Dr. Matteo Vigo uses nose fillers to alter the definition, projection, profile, and shape of the nose. As such, non-surgical rhinoplasty is best for straightening, lengthening, smoothing out bumps or dents and improving asymmetries in the nose. The key benefits of my personalised non-surgical rhinoplasty include:

– Safe & effective treatment using premium dermal fillers

– Fully bespoke non-surgical rhinoplasty nose reshaping treatment

– Profile balancing by treating the chin area if needed

– All treatments performed by an experienced aesthetic doctor

– Premium hyaluronic acid dermal fillers

– Natural looking results

– Dedicated aftercare and follow-up

WHAT ARE THE BENEFITS OF THIS TREATMENT OVER TRADITIONAL RHINOPLASTY?

Aesthetic Medicine now has more and more options for performing non-surgical procedures. Being non-surgical it means less risk, less downtime, fewer side effects and yet with very similar results. The new non-surgical nose job using dermal fillers means I can do so much in minutes and with no pain. Surgical rhinoplasty, however, takes a month or longer to recover from and results are not always perfect. I was one of the first doctors a few years ago who developed the technique of the non-surgical procedure now done by doctors all over the UAE.

WHAT DOES THE NON SURGICAL RHINOPLASTY PROCEDURE INVOLVE?

All of Dr. Matteo Vigo’s non-surgical rhinoplasties start with a detailed consultation. This allows me to design a bespoke treatment based on your individual needs and aesthetic goals. The treatment starts with a thorough cleansing of the skin then applying a numbing cream for your comfort. I will then inject the nose filler using a needle. I may also inject the chin area to help balance the profile of yourself as part of the procedure.

WHO IS BEST SUITED FOR A NON SURGICAL RHINOPLASTY?

Non-surgical rhinoplasty is a quick and non-invasive method to shape the appearance of the nose. This treatment uses hyaluronic acid dermal fillers which are temporary and slowly broken down by your body over time. Dr. Matteo Vigo can deliver excellent results using nose fillers for:

– Mildly crooked nose to improve symmetry

– Small nose that needs building up

– Hook-shaped nose that requires straightening

– Mild or moderate bump on the bridge of the nose that needs smoothing

– A mild to moderate drooping of nasal tip that

– Noses that would like more height, definition, and a nose tip

HOW SAFE IS A NON-SURGICAL NOSE JOB?

Juvéderm and Restylane Perlane, which are usually used in this procedure, are biocompatible and biodegradable products which means that it is not harmful to the body and is broken down and removed from the body naturally. These hyaluronic acid nose fillers come in the form of a sterile gel produced in the laboratory.

WHEN WILL I SEE RESULTS AND HOW LONG DO THEY LAST FOR?

You will be able to see the result immediately and the full effect at 1-2 weeks. The results can last for up to 18-24 months. This is dependent on which of our hyaluronic acid dermal fillers you choose and how quickly your body breaks it down. I will help you decide which dermal filler is best for your needs.

FAT DISSOLVING INJECTIONS… DO THEY WORK?

AESTHETIC MEDICINE DUBAI | 5 May 2022

Want to get rid of some stubborn fat in some area of your body or the face? Now the solution is just a step away with our fat dissolving injection which can guarantee you a result in few sessions. Pain free treatments with amazing result for those who don’t want to have surgeries or more invasive procedures.

With few injections you can target the area you want to reduce, such as the double chin, small area of the abdomen, flanks, hips or knees. A minimal redness and swelling after the procedure for a couple of days is considered normal and it means that the product is active and working. The results appear after 2-3 weeks and a minimal series of 3 treatment is able to guarantee the desired result. There is enough scientific data proving the effectiveness of adipocytolytic injections to reduce unwanted fat depots. These treatments are safe, with minimum side effects and almost no interference with our patients’ daily activities.

FAT DISSOLVING INJECTION TREATMENT

Fat dissolving injections can help you to achieve a slimmer, more contoured body shape, with long-lasting results of between two and four years. The results are even longer if you maintain a healthy diet and regularly exercise!.  Like with all new treatments though, it’s important to understand exactly what is involved before rushing in. Here’s all you need to know about fat dissolving injections: 

THEY ARE SAFE

Chin sculpting injections contain a synthesised deoxycholic acid that occurs naturally in the body and aids in the breakdown and absorption of dietary fat. General fat dissolving injections contain a substance called phosphatidylcholine (PC). Again, this is a natural compound derived from soybean. Both are safe to use and are naturally broken down by the body over time.  

SIDE EFFECTS ARE RARE

Side effects of fat dissolving injections are rare. You may experience swelling, bruising, itching, pain, sensitivity to pressure and excessive warmth at the injection site however, this is usually resolved within three to five days. 

PAIN IS MINIMAL

As with all treatments that involve needles, the injections may sting for a few seconds, but generally, pain is minimal with our chin sculpting and fat dissolving treatments. Dr. Vigo offers the option of applying a topical numbing agent to the treatment area to minimise discomfort.  

THERE IS DOWNTIME

The biggest thing to note with fat dissolving injections and chin sculpting injections is they do require a bit of downtime. Both treatments recommend taking it easy for three to five days.  

WHAT IS AQUALYX?

Aqualyx is made up from a number of different plant based compounds that have been refined in a lab environment. Aqualyx dissolves the membranes of fat cells in the treated area. The fat cells become unstable and break open. The fatty acids contained within the cell are then eliminated by macrophages (part of the body’s immune system) and the liver.

IS AQUALYX SUITABLE FOR ME?

If you are maintaining a healthy lifestyle and are close to your ideal body weight, but have isolated stubborn areas of fat then Aqualyx might be suitable. Popular areas that we treat are double chins, moobs, saddle bags, inner thighs, cankles and abdomen – including defining a six pack. If you have significant weight then Aqualyx is not suitable for you, but other body contouring treatments we offer maybe. If you have recently lost significant weight then the area concerning you may be loose skin which we can improve with skin tightening treatments. A consultation with Dr. Vigo will determine the correct treatment plan for you.

ARE THE RESULTS PERMANENT?

Whilst the body can regenerate fat cells – the process is very slow. So once fat cells are removed from a localised area your results are as good as permanent. However, if you do not continue to maintain a healthy lifestyle then your body will put on weight in other areas of your body where fat cells remain.

WHAT IS INVOLVED IN RECOVERY?

Immediately after treatment you may appear red and swollen with some bruising on the treated area. Aqualyx works by causing an inflammatory reaction in the fat cells which can result in swelling for 3-5 days. Therefore, if you intend to have a facial treatment, e.g. double chin where the swelling may be obvious, you may wish to organise time away from work or social engagements. You will be able to reduce the swelling by using a cool pack wrapped in a clean cloth for a maximum of 20 minutes each day.

WHAT ARE ADIPOSE DERIVED STEM CELLS?

AESTHETIC MEDICINE DUBAI | § May 2022

 

Stem Cell Treatment is an effective treatment for several conditions and has been successfully used to improve skin and hair conditions. I provide the following treatments:  

Anti ageing

Scar and acne treatments

Hair loss

Natural body shaping

WHAT ARE ADIPOSE DERIVED STEM CELLS?

Adipose Derived Stem Cells are mesenchymal stem cells which can be found in the fat tissue; these cells represent a multipotent cellular population which can differentiate into cells of various tissues, including but not limited to bone, cartilage, heart and muscle.

Moreover, those cells can show immunomodulating properties and an elevated capacity to stimulate the formation of new blood vessels. Adipose derived stem cells are also contained in the bone marrow, in the amniotic liquid and epithelial tissue. The fat is our richest source of stem cells and it is the easiest tissue to be harvested through a normal liposuction. Adipose- derived stem cells can be used in many field in cosmetic and reconstructive surgery. They are very useful in the body shaping, helping the survival of the grafted fat, play an important role in the rejuvenation process of the skin, promote the healing of scars and the correction of it. They can be used also as a treatment for stretch marks, old scar depressions and keloids.

PERSONALIZED ANTI AGING SKIN CARE

This process allows you to create your own personal supply of collagen-producing Adipose Derived Cells to correct fine wrinkles, folds and ageing signs. It is a natural treatment that does not rely on injecting artificial components into the skin

THE AGING PROCESS

Fibroblasts are skin cells that produce collagen and elastin. Their function is essential for maintaining elasticity and firmness of your skin. As we age, our fibroblasts reduce in number and the collagen matrix that makes up most of the dermis breaks down. This creates an imbalance that causes the dermis to become less stretchable, less resilient, more lax and prone to wrinkling.

RESULTS

The new implanted Adipose Derived Cells produce collagen and elastin and make the skin smoother and healthier. Reducing the appearance of fine lines, wrinkles and superficial imperfections as damaged skin cells are quickly outnumbered by the proliferation of healthy cells. A boost in collagen and elastin, helps to restore the skin’s smoothness and elasticity.

The cells will make new collagen and they will require time to form that new matrix. The younger are the skin cells the quicker are the results; the average time from injection to when you see the changes is usually only a few months and you will see continued gradual improvements for 6 months to a year.

CAN I STOP THE AGEING PROCESS OF MY SKIN AND PREVENT IMPERFECTIONS?

Preserve your ADCells today and put a stop to skin-ageing. Thanks to the innovative cell culture processes, you can now obtain millions of new cells from cryopreserved ADC that will be used to restore the conditions of young skin and replace aged cells

SCAR AND ACNE TREATMENTS

Through the Adipose derived Stem Cells, it is now possible to reduce the deep acne scars and stretch marks: they occur when the skin is overstretched. This sudden extension causes a mark in the bottom layer of the skin that becomes noticeable. Scarring has many causes from accidents to acne, surgery, illnesses such as chicken pox, and countless other reasons. LIPOSKILL PLUS is an advanced treatment that allow the reduction of scars and stretch marks using Adipose Derived Stem Cells. In both cases, the injection of ADSC restores the physiologic condition of normal skin repairing the damages through the extracellular matrix rebuilt. In addition, the ADSC remove the fibrotic tissue that reveal the scar making it unpleasant in function and aesthetic.

WHAT TO EXPECT?

The treatment helps your skin heal properly without any scarring. Gradual Decrease of wound scars. Stretch marks can be reduced to give the skin a clear and fresh appearance. 

RESULTS 

ADSC help to rebuild new skin, allowing skin lesions to progressively fade and be replaced by fresh, smooth skin. The result is skin that looks healthy, smooth and translucent. Through the Adipose derived Stem Cells, it is now possible to reduce the deep acne scars and stretch marks: they occur when the skin is overstretched. This sudden extension causes a mark in the bottom layer of the skin that becomes noticeable. Scarring has many causes from accidents to acne, surgery, illnesses such as chicken pox, and countless other reasons. LIPOSKILL PLUS is an advanced treatment that allow the reduction of scars and stretch marks using Adipose Derived Stem Cells. In both cases, the injection of ADSC restores the physiologic condition of normal skin repairing the damages through the extracellular matrix rebuilt. In addition, the ADSC remove the fibrotic tissue that reveal the scar making it unpleasant in function and aesthetic.

RESULTS 

ADSC help to rebuild new skin, allowing skin lesions to progressively fade and be replaced by fresh, smooth skin. The result is skin that looks healthy, smooth and translucent..

HAIR LOSS

Alopecia Areata is an autoimmune disorder characterized by patches of non-scarring alopecia affecting scalp and body hair; it is clinically heterogeneous, and its natural history is unpredictable. There is no preventative therapy or cure at this moment. Hair transplantation – which takes plugs of natural hair from hair-rich occipital areas and transplants them to the hair-poor areas- may no longer be a viable option for treatment, as there might not be sufficient donor hair follicles (available from the scalp or other areas) that can be transplanted without causing collateral damage elsewhere. Cell therapy can restore bald scalp areas has become an emerging focus in addressing this medical condition.

Adipose derived cells (ADC) are one of the latest break-troughs in hair regeneration, since these cells and their conditioned media (ADC-CM) have been reported to promote hair growth in vitro and in some clinical reports of treatments for androgenic alopecia or female pattern hair loss (FPHL). Moreover, ADC-CM increases the proliferation of human follicle dermal papilla cells (DPC) and human epithelial keratinocytes, two cell types present in hair follicles, inducing anagen phase and stimulating hair regeneration.

THE TREATMENT

The treatment is based on the administration of ADC-CM alone or in association to autologous, in vitro expanded ADC. ADCs are isolated starting from a fat tissue sample which can be collected during a surgical liposuction or in one outpatient session. The cells are expanded under sterile conditions and culture media is collected for future use. About two weeks after the small FAT collection about ten millions of cells are ready for an immediate treatment and the remaining cells are cryopreserved for future treatments.

ADVANTAGES

ADC-CM contains various regenerative factors secreted by ADC that can limit hair loss by recruiting endogenous cells to hair follicles sites and triggering regeneration. Moreover, ADC-CM increases the poor engraftment of the ADC transplanted alone and the clinical outcomes in hair regeneration.

The sample can be taken using a simple micro-liposuction procedure with no need for surgery, the collection does not require dedicated equipment and/or kits, simply a standard syringe.

The possibility of freezing part of the material offers the advantage of repeating the treatment several times over the years without the need to undergo again to fat tissue collection.

NATURAL BODY SHAPING

With this treatment you can achieve a Natural Breast and Buttocks augmentation and shaping of concave deformities without any permanent implants by a safe and quick treatment. LIPOSKILL restores volume and contours body surfaces using hundreds of millions of expanded Adipose Derived Cells which are implanted using a scaffold consisting of autologous fat taken in advance.

This treatment shows a Significant reduction of the downtime and discomfort as well as the scarring and risks involved with all surgical procedures. Furthermore, it eliminates many of the concerns patients have about surgery such as undergoing general anesthesia. Permanent implants typically involve major surgery under general anesthesia which can leave extensive scarring and is associated with other medical and surgical risks. Unlike artificial implants, Adipose Derived Cells (ADC) in a natural fat scaffold allows more flexibility to shape and contour, leading to a more natural-looking and personalized result. Many patients like the idea of using their own natural fat instead of introducing foreign materials into the body since there is a lower risk of infection or other complications.

The procedure consists of two steps: the first is harvesting the fat to extract and expand the fat cells. The second is collecting the fat to use as a scaffold that will be enriched with the expanded cells and then implanted. By a withdrawal of fat of about 50-100 ml within 10 days, approximately 300 to 600 million cells are obtained. Then, the expanded cells are combined with 100-200 ml of autologous fat and implanted to increase the volume.

 

WHAT IS BREAST AUGMENTATION SURGERY?

BREAST AUGMENTATION DUBAI | 25 APRIL 2022

Breast enlargement surgery, also known as breast augmentation or breast enhancement, is one of the most regularly performed procedures and involves the insertion of implants under the breast tissue to increase the size or change the shape of the breasts. Many women choose to have breast augmentation surgery to boost body confidence and to feel comfortable with the size and shape of their breasts.

WHAT IS BREAST AUGMENTATION SURGERY?

Breast enlargement surgery is an operation to enlarge the breasts, usually using an implant filled with silicone or with physiological saline (a solution containing salt at the same concentration as in the body).Sometimes, the breasts can be enlarged with fat from another part of the body. Patients are usually pleased with the results of breast augmentation, but first it is important to understand what is and isn’t possible, and what care might be needed in the future.

WHY HAVE BREAST AUGMENTATION SURGERY?

People have this surgery to make their breasts larger and improve their shape. Some women have smaller breasts than they would like. Also, breasts can droop with age or after pregnancy, breastfeeding and weight loss. Breast enlargement can improve both the shape and the droop to some degree. Some women have one breast much bigger than the other. Breast enlargement can balance breasts of different sizes.

WHAT WILL HAPPEN BEFORE MY OPERATION?

You will meet your surgeon to talk about why you want surgery and what you want. The surgeon will make a note of any illnesses you have or have had in the past. They will also make a record of any medication you are on, including herbal remedies and medicines that are not prescribed by your doctor.

Your surgeon will examine your breasts, and may take some photographs for your medical records. They will ask you if you want to have someone with you, and ask you to sign a consent form for taking, storing and using the photographs. The surgeon may measure your height and weight to make sure that it is safe to do an operation. If you are overweight, or planning to become pregnant, your surgeon may suggest delaying your operation.

HOW IS THE PROCEDURE PERFORMED?

Implants are placed either behind the breast or behind the muscle the breast sits on. Putting implants behind the breast is the simplest option. Putting implants under the muscle gives more padding in very slim women. Your surgeon will discuss which is best for you. Implants are usually inserted through a cut in the crease under the breast (the inframammary fold). They can also be inserted through a cut in the armpit or around the areola. Sometimes, a drain (a tube attached to a bottle or bag) is left in to drain away any fluid or blood. This is removed after a day or two on the ward.

ABOUT THE IMPLANTS

The outer layer of breast implants is made of silicone or, in some cases, polyurethane. Inside this there is either silicone gel (most common) or saline. Silicone implants usually feel more natural than saline ones, and can have different shapes. Saline-filled implants usually feel less natural, have a greater risk of rippling, and can deflate. Breast implants usually last about 10 years, sometimes less, sometimes more.

IMPLANT SIZE

The size of implants is given in millilitres (ml), in cubic centimetres (cm3) or by weight (grams). When you meet your surgeon before the operation, they will look at your breasts and the size of your ribcage, and check how firm your skin is. They will discuss with you what size of implant will suit you best. Usually, large implants look less natural on slimmer women. Your surgeon will ask you if you want to have someone with you during this examination. Your surgeon cannot promise you an exact cup size, only a range. Tell your surgeon if you would like to aim for the larger or smaller end of the particular range.

IMPLANT SHAPE

Implants can be round or teardrop-shaped (anatomical). Round implants are fuller at the top of the breast. With teardrop-shaped implants, you choose the width and height separately. With both shapes, you can choose for the amount that the implant sticks out (the projection) to be more or less subtle. You and your surgeon will discuss what shape will suit you best.

DO I NEED A BREAST UPLIFT?

Mild droopiness can be improved by breast enlargement surgery. If your breasts are droopy but the right size for you, you can have a breast-uplift operation without an implant. This surgery is called a mastopexy. With this surgery, the nipple is lifted and the breast tissue and skin is tightened through cuts around the areola and under the breasts. Sometimes, both implants and lifting are needed, either at the same time or in two separate operations.

CHOOSING A SURGEON

Breast enlargement is a lifetime commitment. You must be sure that you are making the right choice, and understand the implications of the surgery. You might need more surgery in the future to keep up the results of the breast augmentation, and you should be prepared for this, personally and financially. Nobody needs an urgent breast augmentation. If you are not given time to think about it, you should look elsewhere.

HOW CAN I HELP MY OPERATION BE A SUCCESS?

Be as healthy as possible. It is important to keep your weight steady with a good diet and regular exercise. Your doctor can give you advice on this. If you smoke, stopping at least six weeks before the operation will help to reduce the risk of complications. Do not worry about removing hair near where cuts will be made, but do have a bath or shower during the 24 hours before your operation to make sure that the area is as clean as possible.

WHAT IS THE ALTERNATIVE TREATMENT?

A simple alternative to breast augmentation is to wear padded bras. The only alternative surgical technique to enlarge the breast is lipofilling. This is where fat removed by liposuction from another part of the body (such as the hips or thighs) is injected into the breast area. Because only a relatively small amount of fat can be injected at a time, and some of the fat is reabsorbed into the body, you would need several injections to get a permanent enlargement. Your own fat is the only substance that can be safely injected into the breast. Other materials have been tried, and then banned. Do not allow anyone to inject anything other than your own fat into your breasts.

WHAT ARE THE MAIN RISKS AND COMPLICATIONS OF BREAST AUGMENTATION SURGERY?

As with all operations, there are risks involved in breast augmentation surgery. Although the risks are unlikely, it is important to weigh them up against the potential benefit of the surgery. Discuss each of them with your plastic surgeon to make sure you understand the potential complications and consequences.

SCARS ASSOCIATED WITH THE SURGERY

There will be scars from the surgery. These will usually be red at first, then purple, and then fade to become paler over 12 to 18 months.   

WHAT IS RENUVA®?

FILLERS IN DUBAI | 13 APRIL 2022

Renuva® is a groundbreaking treatment that, when injected, gradually replaces age-related fat loss with your body’s own fat. Renuva is safe and effective for replacing volume loss in the face, hands and body.

HOW RENUVA® WORKS

Renuva® is an adipose allograft matrix composed of collagen, proteins, and growth factors derived from donated and purified fat. Think of it as a scaffolding that triggers your body’s fat production. After it’s injected, your stem cells divide and grow into new fat cells that populate the new collagen matrix that it creates – in other words, the solution gets replaced over time with your own fat.

In addition to resulting in less post-injection swelling, the technology purportedly eliminates that uncanny effect that can happen when filler sits awkwardly on top of moving facial muscles. The new volume is living cells in the anatomical layer it belongs in. Because of that it will look and animate naturally. What’s more, those new fat cells can live for at least 10 years, if not longer.

In line with injectables like Ellansé®, Radisse®, and Sculptra® (all of which trigger the body to boost its collagen production), Renuva® is one more piece of an industry-wide shift. The thinking behind these treatments is to enhance the body’s own reparative abilities. It overlaps with general healing as well as anti-aging and longevity – essentially the doorway to the fountain of youth.

Similar to the recent positioning of certain neurotoxins and fillers as ‘clean’ or ‘pure’ injectables, Dr. Vigo sees patient desire driving this turn. People are wanting ‘regenerative’ procedures that stimulate your own body to improve over time. They like the idea of more ‘natural’ and less ‘synthetic’ injectables.

WHAT RENUVA® IS BEST FOR

The treatment works in areas of the face that naturally have fat cells, including the temples, nasolabial folds, chin, jawline, and cheeks. It can also be used on the hands. And that’s not all. It’s great to use post-surgical on patients with small indentations or irregularities on the body, like in the breasts or in cellulite, and those with botched liposuction procedures.

It’s important to note that Renuva® is not your best option if speed is your priority. Unlike hyaluronic acid-based dermal fillers that offer immediate volume, the fat-building process can take months. So, while the results are long lasting, they can take several months to show up.

Additionally, Renuva® can’t be dissolved like HA-based fillers — but the process it sets off can be halted along the way. If the volume is undesirable or if there are firm areas that the patient does not tolerate during the process of fat growth, a diluted steroid can be injected into the area to stop the function of the growth factors, as well as the proliferative phase of fat growth.

While it won’t replace the instant gratification of HA-filler, Renuva® will further diversify a growing range of injectables that go beyond filling to stimulate natural volume restoration. 

HOW LONG DO RENUVA IMPROVEMENTS LAST?

When injected properly, both synthetic fat grafting and autologous fat transfers offer permanent improvement in skin tone, texture, volume, and contouring. A series of treatments are often needed to adequately produce the desired textural and volume enhancements. Dr. Vigo recommends that his patients schedule Renuva treatments every 6 to 12 weeks until optimal improvement is achieved.

WHAT IS THE DOWNTIME FOR RENUVA?

As with any injectable treatment, there may be some sensitivity, discomfort, or redness in the treatment area, but there is minimal downtime following the procedure. Although swelling may persist for up to 2 weeks after injection, patients can resume everyday activities immediately following the treatment.

AM I A GOOD CANDIDATE FOR RENUVA ADIPOSE MATRIX?

While Renuva has a wide range of applications, synthetic donor fat is primarily intended for small-volume improvements, such as atrophic scars, cellulite, and stubborn dimples. For those seeking high-volume enhancements, Dr. Vigo may propose alternative solutions, including autologous fat transfer via a Hi-Definition Liposuction procedure and/or surgical implants for significant improvement. 

A combination of Renuva with Sculptra or Bellafill may also provide a greater degree of volumization. To determine if Renuva is the best solution for you, schedule a formal evaluation with Dr. Vigo, who can assess your needs and create a long-term treatment plan to meet your aesthetic goals.

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